Buy Dapsone
Dapsone

164.05
A powerful medication used for chronic skin conditions like dermatitis herpetiformis and as a key component in treating leprosy.


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Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
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Product Sheet

Alternative/Local Brand
Dapsone
Active Ingredient(s)
Diaminodiphenyl Sulfone
Primary Category
Infection Treatment, Skin Condition Treatment
Therapeutic Class
Sulfonamides, Antimycobacterials
Pharmacological Class
Sulfones
Indications
Leprosy, Dermatitis herpetiformis, Pneumocystis pneumonia prevention
Contraindications
Severe anaemia, G6PD deficiency, Porphyria
Minor Side Effects
Nausea, Vomiting, Headache
Moderate Side Effects
Insomnia, Blurred vision, Tachycardia
Serious Side Effects
Haemolytic anaemia, Agranulocytosis, Liver damage, Severe skin reactions
Dosage Forms
Tablet
Administration Route
Oral
Mechanism of Action
Dapsone has both anti-inflammatory and antibacterial properties. It works as an antibacterial by inhibiting the synthesis of dihydrofolic acid in bacteria. Its anti-inflammatory action helps treat skin conditions like dermatitis herpetiformis by inhibiting certain enzyme activities.
Prescription Status
Rx
Manufacturer
Accord Healthcare
Patient Summary
A powerful medication used for chronic skin conditions like dermatitis herpetiformis and as a key component in treating leprosy.
Onset Time
Several days for skin conditions
Duration
24-48 hours
Storage Instructions
Protect from light and store in a dry place.
Drug Interactions
Rifampicin, Trimethoprim, Probenecid
Age Restrictions
Dose adjusted for children by a specialist
Pregnancy Use
Only if clearly needed; requires folic acid supplement.
Alternative Drugs
Sulfapyridine, Rifampicin

Diaminodiphenyl Sulfone (Dapsone): Generic Medication Overview

Diaminodiphenyl sulfone, commonly known by its generic name Dapsone, is classified under skin-care pharmaceuticals. It is supplied as oral capsules packaged in a bottle containing 1000 capsules. In Hong Kong, Dapsone is a prescription-only medication regulated by the Department of Health.

How Dapsone Works in the Body

Dapsone belongs to the sulfone class of antibiotics. It inhibits the bacterial enzyme dihydropteroate synthase, which interferes with folate synthesis and halts microbial growth. In addition to its antibacterial activity, Dapsone exerts anti-inflammatory effects by reducing neutrophil chemotaxis and oxidative burst, which helps control inflammatory skin disorders. The drug is absorbed from the gastrointestinal tract, reaches peak plasma concentrations within a few hours, and has a relatively long half-life, allowing once-daily dosing in most patients.

Conditions Treated by Dapsone

  • Leprosy (Hansen’s disease) - Dapsone is a cornerstone of multidrug therapy for both paucibacillary and multibacillary forms.
  • Dermatitis herpetiformis - Used to control the intensely itchy rash associated with this gluten-sensitive condition.
  • Inflammatory acne - Prescribed when standard acne therapies are insufficient, particularly for inflammatory lesions.

These indications are approved by the Hong Kong Department of Health for the oral capsule formulation of Dapsone.

Patient Suitability and Contraindications

Absolute Contraindications

  • Known hypersensitivity to Dapsone or any sulfonamide.
  • Severe hemolytic anemia, especially in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency.

Relative Contraindications

  • Pregnancy (especially first trimester) and lactation; Dapsone crosses the placenta and is excreted in breast milk.
  • Significant renal or hepatic impairment; dose adjustment may be required.
  • Existing methemoglobinemia or severe cardio-pulmonary disease.

Special Populations

  • G6PD deficiency: Even low doses can precipitate hemolysis; screening is advised before initiation.
  • Elderly patients: May require closer monitoring of blood counts and renal function.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Mild skin discoloration (hyperpigmentation) - often reversible after discontinuation.
  • Nausea, abdominal discomfort, or mild headache.

Serious Adverse Events

  • Hemolytic anemia - signs include fatigue, dark urine, and jaundice.
  • Methemoglobinemia - may present with cyanosis and shortness of breath; requires urgent medical attention.
  • Severe cutaneous reactions (e.g., Stevens-Johnson syndrome) - rare but life-threatening.

Drug Interactions

  • CYP2C9 inhibitors (e.g., fluconazole) can increase Dapsone plasma levels.
  • Anticoagulants such as warfarin may have enhanced effects; INR monitoring is recommended.
  • Rifampicin can reduce Dapsone concentrations, potentially lowering efficacy in leprosy therapy.

Food and Lifestyle Interactions

  • Take capsules with food to minimize gastrointestinal irritation.
  • Alcohol may exacerbate hepatic toxicity; moderation is advisable.
  • No significant impairment of driving or use of machinery has been reported, but caution is warranted if experiencing severe dizziness or anemia.

If you are taking other medications, supplements, or herbal products, inform your healthcare provider before starting Dapsone.

How to Take Dapsone

  • Standard administration: Capsules are swallowed whole with a full glass of water, preferably with meals.
  • Dosage determination: The appropriate strength and frequency are prescribed by a qualified prescriber based on the specific condition, severity, and patient factors.
  • Missed dose: Take the missed dose as soon as remembered unless the next scheduled dose is near; do not double the dose.
  • Overdose: Symptoms may include severe nausea, vomiting, and profound hemolysis. Seek emergency medical care; supportive measures and blood transfusion may be required.
  • Discontinuation: Dapsone may need to be tapered under medical supervision to prevent rebound inflammation, especially in chronic dermatologic use.

Because the package contains 1000 capsules, the duration of therapy will depend on the prescribed daily dose.

Monitoring and Follow-Up

  • Baseline and periodic complete blood count (CBC): Detect early hemolysis or agranulocytosis.
  • Liver function tests (LFTs): Monitor for hepatic toxicity, particularly in patients with pre-existing liver disease.
  • Methemoglobin level: Evaluate if cyanosis or unexplained dyspnea occurs.
  • Clinical review: Assess skin response, pigment changes, and any emerging adverse effects at each follow-up visit.

Storage and Handling

  • Store the bottle of capsules at room temperature, away from moisture and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the printed expiration date; dispose of unused capsules according to local pharmaceutical waste guidelines.

Medication-Specific Glossary

Hemolysis
The premature destruction of red blood cells, which can lead to anemia and jaundice.
Methemoglobinemia
A condition where hemoglobin is oxidized to methemoglobin, reducing its ability to carry oxygen.
Sulfonamide
A chemical class that includes Dapsone; drugs in this class share a common sulfur-nitrogen structure and can trigger hypersensitivity in susceptible individuals.

Medical Disclaimer

This article provides educational information about Dapsone and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Dapsone FAQ

Can Dapsone be used for non-prescription skin conditions?

While Dapsone is primarily prescribed for leprosy, dermatitis herpetiformis, and inflammatory acne, some dermatologists may consider it for off-label inflammatory disorders after evaluating risks and benefits. Such use should be supervised by a qualified clinician.

What should I do if my skin becomes hyperpigmented while taking Dapsone?

Hyperpigmentation is a known side effect. Notify your healthcare provider, who may adjust the dose, switch to an alternative therapy, or recommend skin-lightening measures under medical guidance.

Dapsone is usually taken once daily with a meal to reduce gastrointestinal upset. The exact timing (morning vs. evening) can be individualized based on patient routine and tolerability.

How can I tell if I have G6PD deficiency before starting Dapsone?

A simple blood test can assess G6PD enzyme activity. Screening is recommended for individuals of Mediterranean, African, or Southeast Asian descent, or for those with a personal/family history of hemolytic anemia.

Will Dapsone show up on standard drug tests for employment or sports?

Dapsone is not typically included in standard employment drug panels. However, certain sports anti-doping agencies list it as a prohibited substance when used for performance enhancement; athletes should verify with their governing bodies.

What does the imprint on the capsule look like?

The imprint varies by manufacturer. Common markings include “D” or “DAPSONE” followed by the strength number. Always confirm the imprint with the prescribing pharmacist.

Can I travel internationally with a bottle of 1000 Dapsone capsules?

Yes, but keep the medication in its original labeled container, carry a copy of the prescription, and be aware of each country’s import regulations for prescription drugs.

Are there cheaper generic alternatives to Dapsone in Hong Kong?

Dapsone itself is a generic compound. Pricing may vary among pharmacies, but there are no distinct alternative active ingredients that provide the same therapeutic effect for its approved indications.

What should I avoid eating while on Dapsone?

There are no specific food restrictions, but taking the capsule with a substantial meal helps minimize stomach irritation. Avoid excessive alcohol, which can increase hepatic strain.

How does Dapsone compare to topical antibiotics for acne?

Oral Dapsone targets deeper inflammatory pathways and may be effective for resistant acne, whereas topical antibiotics act primarily on surface bacteria. Choice of therapy depends on severity, lesion type, and prior treatment response, and should be decided by a dermatologist.

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